Facial Swelling: Causes, Treatment, and Recovery Tips

The face feels swollen and tender when pressed firmly?

I had been busy for a while and ate less, which made my cheekbones appear more prominent.
I started pressing on my face, and it noticeably looked strange.
I also used my hands to press hard on the inner muscles and pushed them, which made them significantly larger.
The more I pressed, the bigger the swelling became, and one side of my face became round and swollen, making it asymmetrical compared to the other side, which was originally very symmetrical.
I consulted a plastic surgeon and had X-rays taken.
The doctor said there was no damage to the bones and prescribed anti-inflammatory medication and muscle relaxants.
The swollen area felt tight, which I suspect might be due to inflammation and microvascular rupture.
Did I injure the cartilage? Did I damage any nerves? My face can move normally, but it feels tight.
Is it possible that I have displaced the cartilage tissue or caused soft tissue hyperplasia? Or is it just congestion and swelling that will resolve? Will it self-resolve over time, or do I need to see a specialist to have the tissue pushed back? When should I apply heat? How long will it take to heal? Thank you, doctor.

chu, 20~29 year old female. Ask Date: 2009/10/03

Dr. Lai Yanting reply Rehabilitation

Your concern may be related to temporomandibular joint disorder (TMJ disorder).
You should visit a hospital for further evaluation to confirm the diagnosis—consider starting with a dental appointment.
For more information, please refer to: http://pchome.uho.com.tw/sick.asp?aid=6321.
Thank you for your inquiry.

Reply Date: 2009/10/03

More Info

Facial swelling can be a concerning symptom, especially when it leads to asymmetry and discomfort. Based on your description, it seems that your facial swelling may be a result of a combination of factors, including muscle tension, inflammation, and possibly some degree of soft tissue injury. Here’s a comprehensive overview of the potential causes, treatment options, and recovery tips for facial swelling.

Causes of Facial Swelling
1. Inflammation: When you apply excessive pressure to your face, it can lead to inflammation in the soft tissues. This inflammation can cause swelling and a feeling of tightness. The micro-tears in blood vessels can lead to localized swelling and bruising.

2. Muscle Strain: Over-manipulating the facial muscles can lead to strain, which may cause discomfort and swelling. The facial muscles are delicate, and excessive pressure can lead to muscle fatigue and inflammation.

3. Fluid Retention: Sometimes, facial swelling can be due to fluid retention, which can occur for various reasons, including dietary factors, hormonal changes, or even stress.

4. Soft Tissue Injury: While your X-ray results indicated no bone injury, it is still possible to have soft tissue damage. This could involve the muscles, fascia, or even the nerves in the area, leading to swelling and discomfort.

5. Allergic Reactions: If you have recently changed your diet or used new skincare products, an allergic reaction could also cause swelling.

Treatment Options
1. Medications: Since you have already been prescribed anti-inflammatory medication and muscle relaxants, continue to follow your doctor's advice regarding these medications. They can help reduce inflammation and alleviate discomfort.

2. Cold Compresses: Applying a cold compress to the swollen area can help reduce swelling and numb the pain. It is generally recommended to apply cold therapy for 15-20 minutes every hour as needed.

3. Avoid Manipulation: It’s crucial to avoid further manipulation of the swollen area. Pressing or massaging the face can exacerbate swelling and lead to further injury.

4. Hydration and Diet: Ensure you are well-hydrated and consume a balanced diet. Reducing salt intake can help minimize fluid retention.

5. Rest: Allow your body to heal by getting adequate rest. Stress can exacerbate inflammation, so try to engage in relaxation techniques.

Recovery Tips
1. Monitor Symptoms: Keep an eye on your symptoms. If the swelling does not improve within a few days or worsens, it is essential to follow up with your healthcare provider.

2. Physical Therapy: If you continue to experience tightness or discomfort, consider consulting a physical therapist who specializes in facial rehabilitation. They can provide exercises and techniques to help restore normal function.

3. Heat Therapy: After the initial swelling has decreased (usually after 48 hours), you may switch to heat therapy to promote blood flow and healing. Apply a warm compress for 15-20 minutes several times a day.

4. Follow-Up Care: If you have concerns about potential nerve damage or soft tissue injury, consider seeing a specialist, such as a neurologist or an ear, nose, and throat (ENT) doctor, for further evaluation.

Conclusion
Facial swelling can be distressing, especially when it affects your appearance and comfort. While it is likely that your symptoms will improve with time and appropriate care, it is essential to avoid further manipulation of the area and to follow your doctor's recommendations closely. If you notice any worsening of symptoms or new concerns, do not hesitate to seek further medical advice. With proper care and patience, you should see improvement in your condition.

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